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General NPI Number Information
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NPI Number | 1033354030
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Entity Type | Organization
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Legal Business Name | ATLANTIC MEDICAL, LLC
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 1820 CORLIES AVE SUITE 7
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City | NEPTUNE
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State | NJ
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Zip | 07753-4860
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Country | US
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Telephone | 732-927-5541
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Fax | 732-946-2674
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Provider Business Mailing Address
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Address Line | 402 NEW CASTLE CT
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4256
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Country | US
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Telephone | 908-670-0952
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Fax | 732-946-2674
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Authorized Official
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Title or Position | CEO
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Name | DR. TONG K HAO
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Credential | MD, PHD
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Telephone | 908-670-0952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA079394
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License Number State | NJ
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